A 39 year old female African American presented with respiratory distress two days after ERCP for pancreatitis.
The patient quickly deteriorated, required intubation, and developed severe hypotension requiring vasopressors.
VA-ECMO was initiated for ARDS and SIRS due to on-going pancreatitis.
Pre ECMO ABG: PH 7.01, PaCO2 70, PaO2 70 with FiO2 100% with PEEP 15
Profound hypotension, required 2 pressors
Preliminary results of cultures were negative at the time of ECMO placement.
Recommended CitationHsiao, BS, Philip; Miessau, BS, Joseph; Pitcher, MD, Harrsion; Yang, MD, Qiong; Baram, MD, Michael; Cavarocchi, MD, Nicholas C.; and Hirose, MD, PhD, Hitoshi, "MRSA sepsis and acute respiratory distress syndrome during veno-arterial extracorporeal membrane oxygenation (ECMO)." (2013). Department of Surgery Faculty Papers. Paper 98.